Chinese experts’ consensus on the diagnosis and treatment of retrograde ejaculation

Title: Chinese experts’ consensus on the diagnosis and treatment of retrograde ejaculation
Edition: Original
Classification: Experts consensus
Field: Diagnosis and Treatment
Countries and regions: China
Guidelines users: Medical professionals engaged in reproductive medicine and andrology
Evidence classification method: GRADE(grading of recommendations assessment,development and evaluation)
Development unit: Chinese Expert Consensus Compilation Group for diagnosis and treatment of retrograde ejaculation, Reproductive Andrology Group, Reproductive Medicine Professional Committee of Chinese Medical Doctor Association
Registration time: 2022-06-16
Registration number: IPGRP-2022CN342
Purpose of the guideline: Retrograde ejaculation belongs to a kind of ejaculation dysfunction in which the semen completely or partially retrogradely enters the bladder during ejaculation, resulting in no semen or only part of the semen being ejaculated from the external urethral orifice, which adversely affects male fertility and sexual function. The Reproductive Andrology Group of the Professional Committee of Reproductive Medicine of the Chinese Medical Doctor Association organized experts in the field of reproductive andrology to conduct in-depth discussions on the definition, classification, etiology, pathogenesis, diagnosis, differential diagnosis and treatment of retrograde ejaculation. Post-ejaculation urine test is recommended for men with low semen volume to identify incomplete retrograde ejaculation; Diabetes screening is recommended for patients with suspected retrograde ejaculation; adrenergic stimulants and anticholinergics are recommended for treatment of retrograde ejaculation.It is also recommended to use different methods to retrieve sperm for artificial assisted reproductive technology treatment of patients with retrograde ejaculation. This consensus can provide expert consultation and advice for medical professionals engaged in reproductive medicine and andrology.